| NPI | 1043270416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX H6453) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA MD.204241) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX H6453) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 070674) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-12-30 |